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[手臂和手部疼痛、麻木与腕管综合征的诊断]

[Pain and numbness in the arms and hands and carpal tunnel syndrome diagnosis].

作者信息

Barbosa Valéria Ribeiro Nogueira, Dantas Fábio Galvão, Cardoso Maria Aparecida Alves, de Medeiros Jovany Luis Alves

机构信息

Departamento de Fisioterapia, Universidade Estadual da Paraíba - Campus I - Campina Grande PB, Brasil (UEPB).

出版信息

Arq Neuropsiquiatr. 2006 Dec;64(4):997-1000. doi: 10.1590/s0004-282x2006000600021.

Abstract

We studied the frequency and localization of pain and numbness in patients with carpal tunnel syndrome (CTS), in comparison with individuals of the general population, matched for sex and age, and we determined the sensitivity and the specificity of these symptoms for the CTS diagnosis. Pain was a common symptom in the two groups of patients. Numbness occurred more frequently in CTS group (p<0.05). In CTS patients, pain complaints were present in neck (42.8%), arms (36.8%) and hands (82.8%). Among controls, pain was more common in head (11.4%), trunk (37.1%), legs (22.8%). In our casuistics, in relation to the CTS diagnosis, the presence of pain and numbness have low sensitivity and high specificity when they occur in the arms, and high sensitivity and specificity when they occur in the hands.

摘要

我们研究了腕管综合征(CTS)患者疼痛和麻木的频率及部位,并与年龄和性别匹配的普通人群个体进行比较,同时确定了这些症状对CTS诊断的敏感性和特异性。疼痛是两组患者的常见症状。麻木在CTS组中更频繁出现(p<0.05)。在CTS患者中,颈部(42.8%)、手臂(36.8%)和手部(82.8%)出现疼痛主诉。在对照组中,疼痛在头部(11.4%)、躯干(37.1%)、腿部(22.8%)更为常见。在我们的病例中,就CTS诊断而言,疼痛和麻木出现在手臂时敏感性低、特异性高,出现在手部时敏感性和特异性均高。

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